Background: Computerized clinical decision support systems (CDSSs) have been shown to improve the efficiency and quality of patient care by connecting healthcare professionals with high quality, evidence-based information at the point-of-care. The mere provision of CDSSs, however, does not guarantee their uptake. Rather, individual and institutional perceptions can foster or inhibit the integration of CDSSs into routine clinical workflow. Current studies exploring health professionals' perceptions of CDSSs focus primarily on technical and usability issues, overlooking the social or cultural variables as well as broader administrative or organizational roles that may influence CDSS adoption. Moreover, there is a lack of data on the evolution of perceived barriers or facilitators to CDSS uptake across different stages of implementation. Methods: We will conduct a qualitative, cross-sectional study in three Italian specialty hospitals involving frontline physicians, nurses, information technology staff, and members of the hospital board of directors. We will use semi-structured interviews following the Grounded Theory framework, progressively recruiting participants until no new information is gained from the interviews. Discussion: CDSSs are likely to become an integral and diffuse part of clinical practice. Various factors must be considered when planning their introduction in healthcare settings. The findings of this study will guide the development of strategies to facilitate the successful integration of CDSSs into the regular clinical workflow. The evaluation of diverse health professionals across multiple hospital settings in different stages of CDSS uptake will better capture the complexity of roles and contextual factors affecting CDSS uptake.
Barriers and facilitators to the uptake of computerized clinical decision support systems in specialty hospitals : protocol for a qualitative cross-sectional study / L. Moja, E.G. Liberati, L. Galuppo, M. Gorli, M. Maraldi, O. Nanni, G. Rigon, P. Ruggieri, F. Ruggiero, G. Scaratti, A. Vaona, K.H. Kwag. - In: IMPLEMENTATION SCIENCE. - ISSN 1748-5908. - 9(2014 Aug 28), pp. 105.1-105.6.
|Titolo:||Barriers and facilitators to the uptake of computerized clinical decision support systems in specialty hospitals : protocol for a qualitative cross-sectional study|
MOJA, PASQUALE LORENZO (Primo)
|Parole Chiave:||computerized clinical decision support systems; evidence-based medicine; perceptions; qualitative|
|Settore Scientifico Disciplinare:||Settore MED/42 - Igiene Generale e Applicata|
Settore M-PSI/06 - Psicologia del Lavoro e delle Organizzazioni
|Progetto:||Effect on professional practice and health care outcomes of computerized evidence-based information system and clinical decision support: a randoized controlled trial in orthopedics|
|Data di pubblicazione:||28-ago-2014|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1186/s13012-014-0105-0|
|Appare nelle tipologie:||01 - Articolo su periodico|
File in questo prodotto:
|Liberati Barriers facilitators CDSS qualitative study Implementation Science.pdf||Publisher's version/PDF||Open Access Visualizza/Apri|